Organization Active NPI

Tree of Life Chiropractic, Inc.

  • Chiropractor
  • Columbiana, OH
National Provider Identifier
1124351705
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3442 Issued in OH
Legal business name
TREE OF LIFE CHIROPRACTIC, INC.
Practice address
11 E Park Ave
Columbiana, OH 44408-1351
Phone
(330) 482-5990
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Isaac Benjamin Mrozek, D.C.
Title
President
Phone
(330) 482-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3442 OH Primary

Addresses

Primary practice location

11 E Park Ave
Columbiana, OH 44408-1351

Mailing address

11 E Park Ave
Columbiana, OH 44408-1351
Phone (330) 482-5990

National Provider Directory

National Provider Directory

Locations

11 E Park Ave
Columbiana, OH 44408
Phone (330) 482-5990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1124351705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E PARK AVE",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081351",
            "telephone_number": "330-482-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E PARK AVE",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081351",
            "telephone_number": "330-482-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "MROZEK",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-482-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.